Gastric tonometry and drain amylase analysis in the detection of cervical oesophagogastric leakage

Cervical anastomotic leakage following oesophagectomy and gastric pull-up is still fraught with substantial morbidity and mortality(1). Early detection of leaks is a prime goal with a view to reducing morbidity and mortality related to anastomotic leakage. A novel approach to the early detection of subclinical leaks is offered by gastric tonometry (GT) and drain amylase analysis (DAA). In this study, GT and DAA were prospectively assessed for suitability to detect oesophago-gastric leaks early.